A nurse is analyzing test results for a client who has a pulmonary embolism. The nurse should identify that which of the following findings indicates a moderate to large pulmonary embolism and the possibility of death?

Tachycardia

Pleural effusion

Respiratory alkalosis

Increased troponin levels

Answer and Explanation

The Correct Answer is D

A. Tachycardia: Tachycardia is a common early sign of pulmonary embolism caused by hypoxia and sympathetic stimulation. However, it is nonspecific and not a direct indicator of embolism size or mortality risk.
B. Pleural effusion: A small pleural effusion can occur with a pulmonary embolism due to inflammation or infarction, but its presence does not correlate with embolism severity or predict outcomes such as death.
C. Respiratory alkalosis: Respiratory alkalosis is a typical response to hyperventilation in early PE. While common, it does not indicate the extent of the embolism or the risk of mortality and can be seen in mild cases.
D. Increased troponin levels: Elevated troponin indicates right ventricular strain or injury due to a moderate to large pulmonary embolism. This cardiac biomarker is associated with a higher risk of complications and death, signaling hemodynamic stress from the embolic event..

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A. Inflammation: In ARDS, widespread inflammation is triggered in response to lung injury, leading to cytokine release and recruitment of immune cells. This causes damage to the alveolar epithelium and disrupts normal gas exchange.
B. Apoptosis: Programmed cell death (apoptosis) occurs in both alveolar epithelial and endothelial cells as part of the tissue response to injury in ARDS. This contributes to impaired surfactant production and gas exchange.
C. Necrosis: Severe epithelial injury in ARDS can lead to necrosis, a form of uncontrolled cell death, further compromising alveolar integrity and promoting fluid leakage into alveoli.
D. Decreased alveolar-capillary permeability: In ARDS, the opposite occurs—increased alveolar-capillary permeability—allowing protein-rich fluid to leak into the alveoli, which leads to non-cardiogenic pulmonary edema.
E. Hypercapnia: While hypercapnia may result from impaired gas exchange in ARDS, it is a consequence of the condition, not a direct cellular characteristic of pulmonary epithelial damage.

A. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." B. Your heart condition is caused by excessive stretching of the ventricles." C. Your heart condition is caused by thickening of the ventricular walls and septum." D. "Your heart condition is caused from stiffening of the walls of the ventricles."

Correct Answer is B

Explanation

A. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty": This description aligns more with restrictive cardiomyopathy. Dilated cardiomyopathy (DCM) involves the enlargement and weakening of the ventricles rather than fibrous or fatty tissue replacement.
B. "Your heart condition is caused by excessive stretching of the ventricles": Dilated cardiomyopathy is characterized by the excessive stretching of the ventricles, leading to poor contraction and reduced pumping efficiency. This is the most accurate explanation of the condition.
C. "Your heart condition is caused by thickening of the ventricular walls and septum": This description refers to hypertrophic cardiomyopathy, not dilated cardiomyopathy. Hypertrophic cardiomyopathy is characterized by thickened heart walls, not dilation.
D. "Your heart condition is caused from stiffening of the walls of the ventricles": This description refers to restrictive cardiomyopathy, where the heart walls become stiff and less able to expand and contract properly, not dilated cardiomyopathy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is analyzing test results for a client who has a pulmonary embolism. The nurse should identify that which of the following findings indicates a moderate to large pulmonary embolism and the possibility of death?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS). The nurse should identify which of the following changes are characteristic of cellular damage to the pulmonary epithelium? (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is teaching a client who has dilated cardiomyopathy (DCM) about this condition. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is B

Explanation

A nurse is providing education to a client who has hypoglycemia. Which of the following information should the nurse include about the regulation of blood glucose levels?

A nurse is providing teaching to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?

The nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is critically ill. Which of the following lab findings requires immediate intervention?

A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client's blood pressure has been steadily decreasing over the past 2 hr. Which of the following categories of shock should the nurse recognize is occurring?

A nurse is caring for a client who has flail chest. The nurse should identify the following information should the nurse include about adechest?

A nurse is assessing a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?

A nurse is reinforcing teaching to a newly licensed nurse about risk factors for subarachnoid hemorrhage (SAH). Which of the following should the nurse include in the teaching?

A nurse is reviewing discharge medications with a client who has Parkinson's disease. The nurse should include teaching about the client's anticholinergic agent. Which of the following side effects should the nurse advise the client to report?